Maria Preema Castelino
Abu Dhabi,UAE
Summary
Results-driven healthcare professional with over 17 years of experience in high volume tertiary care hospitals in Abu Dhabi & India. Experienced in medical insurance coordination and denial management with strong knowledge of IDC-10 coding and documentation review. Skilled in identifying and resolving rejected claims. skilled in patient care, clinical procedure and multidisciplinary coordination, with a strong focus on safety, quality and patient satisfaction.
Overview
16
16
years of professional experience
3
3
years of post-secondary education
1
1
Certification
Work history
Staff nurse
International Knee & Joint Centre
Abu Dhabi
04.2016 - Current
- Verified patients insurance eligibility and coverage details.
- Assisted in claim documentation and submission support.
- Coordinated between patients, doctors and Insurance Team.
- Corrected and Re-submitted claims to ensure approval and reduce rejection rate.
- Identified reasons for rejections such as Coding errors, missing documentation or policy issues.
- Reviewed clinical documentation to match appropriate diagnostic codes.
- Applied accurate ICD-10 coding for diagnosis and treatments.
- Assisted doctors during examinations for efficient healthcare delivery.
- Updated patient records meticulously to ensure accurate documentation.
- Increased patient understanding with clear explanation of medical procedures.
- Managed wound dressings, promoting healing and preventing infection.
- Worked closely with fellow nurses, doctors and clinicians for consistent communication and continued best care practices.
Registered nurse
St. John's Medical College Hospital
Bangalore, India
08.2012 - 02.2016
- Gained extensive experience working in a 1,350 bedded hospital
- Conducted initial patient assessments upon admission; identified health needs and concerns swiftly.
- Responded quickly to emergencies, safeguarded patient well-being.
Registered nurse
Fr. Muller Medical College Hospital
Mangalore, India
03.2010 - 09.2011
Education
Diploma of Education - Nursing
Fr. Muller College of Nursing
Mangalore, India 09.2006 - 02.2010
Skills
- Excellent verbal and written communication, presentation and public speaking skills
- Experience in Medical Records charting and documentation
- Problem solving and critical thinking
- Denial / Rejection management and Resubmission
- Medical terminology proficiency
- ICD coding
- Multi-tasking
Languages
Arabic
Elementary
English
Fluent
Hindi
Fluent
Affiliations
- Fitness / Wellness activities, Public Speaking, Reading.
Certification
DOH license in Nursing
Basic Life Support Certification.
Accomplishments
Recognized as Best Employee by Medical Director Dr. Charles Brown for outstanding performance and consistent support in clinical operations.
References
References available upon request.
Timeline
Staff nurse
International Knee & Joint Centre
04.2016 - Current
Registered nurse
St. John's Medical College Hospital
08.2012 - 02.2016
Registered nurse
Fr. Muller Medical College Hospital
03.2010 - 09.2011
Diploma of Education - Nursing
Fr. Muller College of Nursing
09.2006 - 02.2010